ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC. NPI 1154646982

NPI Information

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Clearlake, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. NPI is 1154646982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15322 LAKESHORE DR
SUITE 203
CLEARLAKE, CA
ZIP 95422-814
Phone: (707) 968-2809
Fax: (707) 963-9185

The provider's authorized official is Kaye A Donnelly .
The authorized official title is Credentialing Coordinator and has the following contact phone number (707) 968-2809.

The CLIA number assigned to this NPI record is 05D0643777 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.